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目的探讨彩超检查高血脂病患者颈动脉粥样硬化斑块的临床诊断效果及价值。方法选取2014年1月至2016年1月确诊的高血脂病患者44例作为观察组,另取同期就诊的非高血脂患者48例作为对照组。分析并比较两组患者的颈动脉彩超、二维图像。结果观察组内-中膜增厚检出率、斑块数量、混合斑例数、软斑例数及伴管腔狭窄例数均高于对照组,差异有统计学意义(P<0.05)。两组颈外动脉起始、颈内动脉起始、颈总动脉、颈动脉交叉等斑块部位分布人数比较差异未见统计学意义(P>0.05)。观察组颈总动脉阻力指数(RI)、搏动指数(PI)、收缩期峰值流速(PSV)均高于对照组,差异有统计学意义(P<0.05)。结论颈动脉粥样硬化斑块和高血脂存在一定关系,应用彩超检查斑块的效果良好,利于判断预后,为临床制定诊疗措施提供依据。
Objective To investigate the clinical diagnostic value and value of carotid atherosclerotic plaques detected by color Doppler ultrasonography in patients with hyperlipidemia. Methods Forty-four patients with hyperlipidemia diagnosed from January 2014 to January 2016 were selected as the observation group. Another 48 non-hyperlipidemic patients were selected as the control group. Analysis and comparison of two groups of patients with carotid ultrasound, two-dimensional images. Results The detection rate of intima-media thickening, the number of plaque, the number of mixed speckles, the number of soft spots and the number of stenosed vessels in the observation group were all higher than those in the control group (P <0.05). There was no significant difference in the distribution of plaque between the two groups in the beginning of external carotid artery, the beginning of internal carotid artery, the common carotid artery and the carotid artery (P> 0.05). The common carotid artery resistance index (RI), pulsatility index (PI) and peak systolic velocity (PSV) in observation group were significantly higher than those in control group (P <0.05). Conclusion Carotid atherosclerotic plaque and hyperlipidemia are related to each other. The application of color Doppler ultrasound to check the plaque has a good effect, which is helpful to judge the prognosis and provide the basis for clinical diagnosis and treatment.